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Clinical policy bulletins
Clinical Policy Bulletins Alphabetical List
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
A
- Abatacept (Orencia)- CPB-0720
- Abdominal Aortic Aneurysm Screening- CPB-0702
- Abdominoplasty,Suction Lipectomy, and Ventral Hernia Repair- CPB-0211
- Ablation of Hepatic Lesions - CPB 0274
- Acoustic Heart Sound Recording and Computer Analysis- CPB-0692
- Acoustic Pharyngometers and SNAP™ Testing System- CPB-0336
- Actigraphy and Accelerometry - CPB 0710
- Actinic Keratoses Treatment- CPB-0567
- Acupuncture- CPB-0135
- Acute Ischemic Stroke: Treatments - CPB 0789
- AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis - CPB 0414
- Adalimumab (Humira)- CPB-0655
- ADAMTS13 Assay for Thrombotic Thrombocytopenic Purpura (TTP) - CPB-0780
- Adoptive Immunotherapy- CPB-0641
- Aerosolized or Irrigated Anti-infectives for Sinusitis - CPB 0593
- Age-Related Macular Degeneration: Treatments - CPB 0765
- Alemtuzumab (Campath) - CPB 0764
- Allergy and Hypersensitivity - CPB 0038
- Allogeneic Bone Marrow or Peripheral Stem Cell Transplant for Aplastic Anemia and Other Bone Marrow Failure Syndromes - CPB 0627
- Allogeneic Bone Marrow or Peripheral Stem Cell Transplant for Thalassemia Major and Sickle Cell Anemia - CPB 0626
- Allograft Transplants of the Extremities - CPB 0364
- Alopecia Areata- CPB-0423
- Alpha 1-Antitrypsin Inhibitor Therapy- CPB-0145
- Alzheimer's Disease Diagnosis - CPB 0349
- Alzheimer's Disease: Experimental Treatments - CPB 0788
- Ambulatory Assist Devices: Walkers, Canes, and Crutches- CPB-0505
- Ambulatory Electroencephalography - CPB 0425
- Amnioinfusion- CPB-0417
- AmniSure ROM (Rupture of Membranes) Test - CPB 0757
- Analysis of Volatile Organic Compounds to Detect Bacteriuria- CPB-0717
- Androgens and Anabolic Steroids- CPB-0528
- Anecortave Acetate (Retaane)- CPB-0706
- Anesthetic Infusion Pumps - CPB 0607
- AngioJet Rheolytic Thrombectomy System- CPB-0568
- Angioplasty and Stenting of Extra-Cranial and Intra-Cranial Arteries - CPB 0276
- Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)- CPB-0565
- Antepartum Fetal Surveillance- CPB-0088
- Anterior Segment Optical Coherence Tomography - CPB 0749
- Anthrax Vaccine- CPB-0483
- Antibody Tests for Neurologic Diseases - CPB 0340
- Antiemetic Injection Therapy - CPB 0724
- Antineoplaston Therapy and Sodium Phenylbutyrate- CPB-0240
- Antiprothrombin Antibody Testing- CPB-0662
- Antroduodenal Manometry- CPB-0616
- Apnea Monitors for Infants- CPB-0003
- Arthroscopic Lavage and Debridement for Osteoarthritis of the Knee- CPB-0673
- Artificial Retina- CPB-0713
- Athletic Pubalgia Surgery - CPB 0750
- Attention Deficit/Hyperactivity Disorder- CPB-0426
- Auditory Processing Disorder (APD) - CPB 0668
- Aural Rehabilitation- CPB-0034
- Autologous Chondrocyte Implantation- CPB-0247
- Autologous Skeletal Myoblast/Mononuclear Bone Marrow Cell Transplantation for Cardiac Diseases- CPB-0599
- Automated Ambulatory Blood Pressure Monitoring- CPB-0025
- Autonomic Testing / Sudomotor Tests- CPB-0485
- Autotransfusers- CPB-0639
- Axial Lumbar Interbody Fusion (AxiaLIF) - CPB 772
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B
- Back Pain - Invasive Procedures- CPB-0016
- Back Pain – Non Invasive Treatments- CPB-0232
- Balloon Dacryocystoplasty / Dacryoplasty for Nasolacrimal Duct Obstruction- CPB-0420
- Balloon Valvuloplasty- CPB-0477
- Balloon-Expandable Venous Stents- CPB-0531
- Barrett’s Esophagus Surgery- CPB-0728
- Bathroom and Toilet Equipment and Supplies- CPB-0429
- Belimumab (Benlysta) - CPB 0818
- Bell's Palsy - CPB 745
- Benign Prostatic Hypertrophy (BPH) Treatments- CPB-0079
- Benign Skin Lesion Removal- CPB-0633
- Bevacizumab (Avastin)- CPB-0685
- Biochemical Markers of Bone Remodeling - CPB-0562
- Biofeedback- CPB-0132
- Bio-Surgery: Medicinal Leech Therapy and Medical Maggots - CPB-0556
- Biventricular Pacing (Cardiac Resynchronization Therapy)/Combination Resynchronization-Defibrillation Devices for Congestive Heart Failure- CPB-0610
- Blood Product Injections for Selected Indications - CPB 0784
- Body Surface Potential Mapping- CPB-0705
- Bone and Tendon Graft Substitutes and Adjuncts- CPB-0411
- Bone Growth Stimulators- CPB-0343
- Bone Marrow or Peripheral Stem Cell Transplant for Selected Leukemias - CPB-0640
- Bone Mass Measurements- CPB-0134
- Bone-anchored Hearing Aid- CPB-0403
- Bortezomib (Velcade)- CPB-0675
- Botulinum Toxin- CPB-0113
- Brachytherapy- CPB-0371
- Brain Natriuretic Peptide Testing- CPB-0618
- BRCA Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy - CPB 0227
- Breast Biopsy Procedures- CPB-0269
- BreastAlert Differential Temperature Sensor - CPB 0337
- Breast Ductal Lavage and Fiberoptic Ductoscopy- CPB-0517
- Breast Implant Removal - CPB 0142
- Breast Pumps- CPB-0421
- Breast Reconstructive Surgery- CPB-0185
- Breast Reduction Surgery and Gynecomastia Surgery- CPB-0017
- Breast Transillumination, Electrical Impedance Scanning (EIS), and Elastography - CPB 0386
- Brentuximab (Adcetris) - CPB 0823
- Bronchial Thermoplasty - CPB 744
- Breath Tests of Airway Inflammation: Exhaled Nitric Oxide and Exhaled Breath Condensate pH- CPB-0691
- Broth Culture Testing for Interstitial Cystitis- CPB-0695
- Bunionectomy- CPB-0629
- Burn Garments - CPB 0062
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C
- Cabazitaxel (Jevtana) - CPB 0806
- Calcitonin Injection - CPB 0803
- Calcitriol and Paricalcitol Injections- CPB-0022
- Capsule Endoscopy- CPB-0588
- Car-Ride Simulators for Infantile Colic- CPB-0523
- Carbogen Inhalation Therapy - CPB 0428
- Carbon Dioxide Laser for Actinic Lesions of the Skin- CPB-0427
- Cardiac Catheter Ablation Procedures- CPB-0165
- Cardiac CT, Coronary CT Angiography and Calcium Scoring - CPB 0228
- Cardiac Devices for Occlusion of the Left Atrial Appendage - CPB 0791
- Cardiac Event Monitors- CPB-0073
- Cardiac Rehabilitation- CPB-0021
- Cardiopulmonary Exercise Testing - CPB 0825
- Cardiovascular Disease Risk Tests - CPB 0381
- Cardiovascular Monitoring Equipment for Home Use: Pulse, Blood Pressure, Telemonitors, and Pacemaker Monitors- CPB-0548
- Cardioverter-Defibrillators- CPB-0585
- Carotid Sinus Stimulation for Hypertension - CPB-0820
- Cataract Removal Surgery- CPB-0508
- Celiac Disease Laboratory Testing - CPB 0561
- Cerebral Perfusion Studies - CPB-0663
- Certolizumab Pegol (Cimzia) - CPB 0761
- Cervical Cancer Screening and Diagnosis - CPB 0443
- Cervical Traction Devices- CPB-0453
- Cetuximab (Erbitux)- CPB-0684
- Chelation Therapy- CPB-0234
- Chemotherapy Inpatient- CPB-0570
- Chest Physiotherapy and Airway Clearance Devices- CPB-0067
- Chiropractic Services- CPB-0107
- Chlamydia Trachomatis – Screening and Diagnosis- CPB-0433
- Cholecystokinin Cholescintigraphy- CPB-0266
- Chronic Fatigue Syndrome - CPB 0369
- Chronic Pain Programs- CPB-0237
- Chronic Vertigo- CPB-0238
- Clinical Trials, Coverage of Routine Patient Care Costs- CPB-0466
- Clotting Factors - CPB 0131
- Coblation Non-thermal Volumetric Tissue Reduction- CPB-0475
- Cochlear Implants and Auditory Brainstem Implants- CPB-0013
- Cognitive Rehabilitation- CPB-0214
- Cold Laser and High-Power Laser Therapies - CPB 0363
- Color-Flow Doppler Echocardiography in Adults- CPB-0008
- Colorectal Cancer Screening- CPB-0516
- Comparative Genomic Hybridization (CGH) - CPB 0787
- Complementary and Alternative Medicine- CPB-0388
- Complex Regional Pain Syndrome (CRPS) / Reflex Sympathetic Dystrophy (RSD): Treatments - CPB 0447
- Compression Garments for the Legs- CPB-0482
- Computerized Corneal Topography- CPB-0130
- Computerized Motion Diagnostic Imaging- CPB-0432
- Computerized Wheeze Detectors - CPB 0813
- Constraint-Induced Therapy - CPB 0665
- Contact Dissolution for Gallstones - CPB 0509
- Contact Lenses and Eyeglasses - CPB 0126
- Continuous Passive Motion (CPM) Machines- CPB-0010
- Convection-Enhanced Intraparenchymal Delivery of Drugs to the Brain- CPB-0731
- Core Decompression for Avascular Necrosis - CPB 0753
- Corneal Graft with Amniotic Membrane Transplantation- CPB-0293
- Corneal Pachymetry - CPB 0681
- Corneal Remodeling- CPB-0023
- Coronary Artery Brachytherapy and Other Adjuncts to Coronary Interventions- CPB-0491
- Cosmetic Surgery- CPB-0031
- Coumadin (Warfarin) To Heparin Conversion Before And After Elective Surgery- CPB-0200
- Cranial Remodeling Bands and Helmets- CPB-0379
- Crit-Line In-Line Monitor- CPB-0373
- Cryoablation- CPB-0100
- Cryoanalgesia and Therapeutic Cold- CPB-0297
- Cryopyrin-Associated Periodic Syndromes: Treatments - CPB 0770
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D
- Deep Brain Stimulation- CPB-0208
- Defecography - CPB 0718
- Dehydration Testing for Endolymphatic Hydrops (Meniere's Disease)- CPB-0571
- Dendritic Cell Immunotherapy- CPB-0377
- Denosumab (Prolia and Xgeva) - CPB 0804
- Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical Plans- CPB-0082
- Dermabrasion, Chemical Peels, and Acne Surgery- CPB-0251
- Dexamethasone Suppression Test in Psychiatry- CPB-0306
- Diabetes Tests, Programs and Supplies - CPB 0070
- Diabetic Neuropathy: Selected Treatments - CPB-0729
- Diabetic Retinopathy Telescreening Systems- CPB-0563
- Diagnosis of Vaginitis- CPB-0643
- Diphtheria, Tetanus, and Pertussis Vaccines- CPB-0653
- Discography - CPB 0733
- Distal Interphalangeal (DIP), Metacarpophalangeal (MCP) and Proximal Interphalangeal (PIP) Joint Implants - CPB 0798
- Distraction Osteogenesis for Craniofacial Defects- CPB-0549
- Distraction Osteosynthesis- CPB-0220
- Donor Lymphocyte Infusion- CPB-0638
- Dorsal Column Stimulation- CPB-0194
- Double Balloon Enteroscopy - CPB-0737
- Drug-Eluting Stents- CPB-0621
- Dry Eyes - CPB-0457
- Dry Hydrotherapy (Hydromassage, Aquamassage, Water Massage)- CPB-0699
- Dupuytren's Contracture: Treatments - CPB 0800
- Dysphagia Therapy- CPB-0625
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E
- Early Intervention Programs- CPB-0444
- Eating Disorders - CPB-0511
- Eculizumab (Soliris) - CPB 0807
- Electrical Stimulation for Chronic Ulcers- CPB-0680
- Electrical Stimulation for Nausea, Vomiting and Motion Sickness (PrimaBella and ReliefBand) - CPB 0676
- Electrical Stimulation for Pain- CPB-0011
- Electrical Stimulation for Xerostomia- CPB-0302
- Electrocochleogram and Perilymphatic Pressure Measurement- CPB-0564
- Electroconvulsive Therapy- CPB-0445
- Electroencephalographic (EEG) Video Monitoring- CPB-0322
- Electromagnetic Navigation-guided Bronchoscopy - CPB 0776
- Electrothermal Arthroscopy- CPB-0545
- Enbrel (Etanercept)- CPB-0315
- Endometrial Ablation- CPB-0091
- Endometrial Cancer Screening and Diagnosis - CPB 0769
- Endoscopic Ultrasonography- CPB-0446
- Endothelial Cell Photography- CPB-0538
- Endovascular Repair of Aortic Aneurysms- CPB-0651
- Enfuvirtide (Fuzeon)- CPB-0671
- Enzyme-replacement Therapy for Lysosomal Storage Disorders- CPB-0442
- Epilepsy Surgery- CPB-0394
- Epiretinal Radiation Therapy - CPB 0756
- Erectile Dysfunction- CPB-0007
- Ernest or Eagle’s Syndrome (Stylomandibular Ligament Pain): Treatment with Radiofrequency Thermoneurolysis- CPB-0400
- Erythropoesis Stimulating Agents - CPB 0195
- Esophageal Doppler Monitoring - CPB 0793
- Esophageal pH Monitoring- CPB-0667
- Ethanol Injection for Thyroid Lesions - CPB 0395
- Evacuation of Meibomian Glands - CPB 0797
- Evoked Potential Studies- CPB-0181
- Extended Ophthalmoscopy - CPB 0767
- External Breast Prosthesis - CPB-0097
- External Counterpulsation (ECP) - CPB 0262
- External Ocular Photography - CPB 0734
- Extracorporeal Immunoadsorption (Prosorba column)- CPB-0355
- Extracorporeal Membrane Oxygenation (ECMO)- CPB-0546
- Extracorporeal Photochemotherapy (Photopheresis)- CPB-0241
- Extracorporeal Shock-Wave Therapy for Musculoskeletal Indications- CPB-0649
- Eye Movement Desensitization and Reprocessing (EMDR) Therapy- CPB-0583
- Eye Prosthesis- CPB-0619
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F
- Face Transplantation - CPB-0819
- Facial Prostheses, External- CPB-0620
- Fecal Incontinence Treatments- CPB-0611
- Female Erectile Devices for the Treatment of Female Sexual Dysfunction (FSD)- CPB-0574
- Femoro-Acetabular Surgery for Hip Impingement Syndrome - CPB-0736
- Fetal Echocardiograms- CPB-0106
- Fetal Fibronectin, Inflammatory Biomarkers, and Salivary Estriol Testing for Preterm Labor- CPB-0166
- Fetal Surgery In Utero- CPB-0449
- Fiberoptic Endoscopic Evaluation of Swallowing (FEES)/Fiberoptic Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST)- CPB-0248
- Fibroid Treatment- CPB-0304
- Flow Cytometry, DNA Ploidy, and S-phase Fraction- CPB-0351
- Fluidized Therapy (Fluidotherapy)- CPB-0450
- Foot Orthotics- CPB-0451
- Frenectomy for Ankyloglossia- CPB-0116
- Functional Electrical Stimulation and Neuromuscular Electrical Stimulation- CPB-0677
- Functional Magnetic Resonance Imaging- CPB-0739
- Fundus Photography- CPB-0539
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G
- Gait Analysis and Electrodynogram- CPB-0263
- Gastric Pacing and Gastric Electrical Stimulation - CPB 0678
- Gastroesophageal Reflux Disease (GERD): Treatment Devices- CPB-0213
- Gastrointestinal Function: Selected Tests- CPB-0396
- Gender Reassignment Surgery- CPB-0615
- General Anesthesia and IV Sedation for Oral and Maxillofacial Surgery and Dental Services- CPB-0124
- Genetic Counseling- CPB-0189
- Genetic Testing- CPB-0140
- Glaucoma Surgery - CPB 0484
- Glaucoma Testing: Ocular Blood Flow Tonometer and Corneal Hysteresis - CPB 0622
- Golimumab (Simponi) - CPB 0790
- Gonadotropin-Releasing Hormone Analogs and Antagonists - CPB 0501
- Gout - CPB 0810
- Graves' Ophthalmopathy Treatments - CPB 0419
- Grenz Ray Therapy for Skin Disorders- CPB-0231
- Grid Monitoring: Presurgical Evaluation for Persons with Intractable Seizures - CPB 0289
- Growth Hormone (GH) and Growth Hormone Antagonists - CPB 0170
- Guillain-Barre Syndrome Treatments- CPB-0732
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H
- Hair Analysis - CPB 0300
- Hammer Toe Repair - CPB 0636
- Hand Transplantation - CPB 0816
- Headaches: Invasive Procedures - CPB 0707
- Heart Transplantation - CPB 0586
- Heart-Lung Transplant - CPB-0597
- Heating Devices - CPB-0540
- Helicobacter pylori Infection Testing - CPB 0177
- Hematopoietic Colony-Stimulating Factors (CSFs)- CPB-0055
- Hematopoietic Stem Cell Transplant for Solid Tumors in Adults - CPB 811
- Hemodialysis for Schizophrenia- CPB-0291
- Hepatitis A Vaccine- CPB-0048
- Hepatitis B Vaccine- CPB-0410
- Herceptin (Trastuzumab)- CPB-0313
- Hereditary Angioedema - CPB 0782
- High Dose Chemotherapy and Bone Marrow or Peripheral Stem Cell Transplantation for Chronic Myelogenous Leukemia - CPB 0674
- High Dose Chemotherapy and Bone Marrow or Peripheral Stem Cell Transplant for Selected Childhood Solid Tumors - CPB 0496
- High Dose Chemotherapy Bone Marrow or Peripheral Stem Cell Transplant for Hodgkin's Disease- CPB-0495
- High Dose Chemotherapy with Bone Marrow or Peripheral Stem Cell Transplant for Multiple Myeloma - CPB 0497
- High Dose Chemotherapy with Bone Marrow or Peripheral Stem Cell Transplant for Non-Hodgkin's Lymphoma - CPB 0494
- High Dose Chemotherapy with Bone Marrow or Peripheral Stem Cell Transplant for Ovarian Cancer - CPB 0635
- High Dose Chemotherapy with Bone Marrow or Peripheral Stem Cell Transplant for Testicular Cancer - CPB 0617
- High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Breast Cancer - CPB 507
- High-Frequency Pulsed Electromagnetic Stimulation- CPB-0175
- High Intensity Focused Ultrasound - CPB 0766
- High-Resolution Anoscopy - CPB 0808
- Hippotherapy - CPB 0151
- Hip and Shoulder Resurfacing - CPB 0661
- Histamine Desensitization Therapy for Intractable Headaches- CPB-0647
- HIV Drug Susceptibility and Resistance Tests- CPB-0316
- HIV Testing- CPB-0542
- Holter Monitors- CPB-0019
- Home Behavioral Healthcare Services- CPB-0730
- Home Births- CPB-0329
- Home Cholesterol Monitors- CPB-0367
- Home Dialysis- CPB-0541
- Home Health Aides- CPB-0218
- Home Hemoglobin Testing Devices - CPB 0824
- Home Uterine Activity Monitoring- CPB-0127
- Home/Ambulatory Spirometry- CPB-0572
- Homocysteine Testing - CPB 0763
- Hospital Beds and Accessories- CPB-0543
- Hospitalization for the Initiation of Ketogenic Diet for the Treatment of Intractable Seizures- CPB-0226
- Human Fibrinogen Concentrate (RiaSTAP) - CPB 792
- Human Papillomavirus (HPV) Vaccines - CPB 0726
- Huntington's Disease- CPB-0614
- Hyperbaric Oxygen Therapy (HBOT)- CPB-0172
- Hyperhidrosis (Hyperhydrosis)- CPB-0504
- Hyperthermia in Cancer Therapy- CPB-0278
- Hypertrophic Scars and Keloids - CPB 0389
- Hypoxic Ischemic Encephalopathy - CPB 0812
- Hysteroscopic Tubal Sterilization: Essure Micro-Insert- CPB-0657
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I
- Ibandronate Sodium (Boniva) Injection- CPB-0727
- Idiopathic Scoliosis Treatments- CPB-0398
- Immune Globulins for Post-exposure Prophylaxis- CPB-0544
- ImmuKnow (Transplantation Immune Cell Function Assay) - CPB 773
- Implantable Hearing Aids -CPB-0612
- Implantable Hormone Pellets- CPB-0345
- Implantable Vas Deferens Ligation Clip (Vasclip)- CPB-0027
- Indirect Measurement of Left Ventricular Filling Pressure (LVFP): The VeriCor System- CPB-0704
- Indocyanine Green Angiography- CPB-0111
- Infertility- CPB-0327
- Inflammatory Bowel Disease: Serologic Markers and Pharmacogenomic and Metabolic Assessment of Thiopurine Therapy - CPB-0249
- Influenza Rapid Diagnostic Tests- CPB-0476
- Influenza Vaccine- CPB-0035
- Infrared Therapy- CPB-0604
- Infusion Pumps- CPB-0161
- Injectable Medications- CPB-0020
- Inpatient Admission Prior to Surgery (Preop Days)- CPB-0255
- Insulin-Like Growth Factor-1 (IGF-1) Analogues: Mecasermin (Increlex) and Mecasermin Rinfabate (Iplex)- CPB-0711
- Intensity Modulated Radiation Therapy- CPB-0590
- Interferons- CPB-0404
- Interleukin-2 (Aldesleukin, Proleukin, IL-2)- CPB-0024
- Intermittent Intravenous Insulin Therapy- CPB-0742
- Intermittent Pneumatic Compression Devices for the Legs- CPB-0500
- Internal Fixation of Rib Fracture - CPB 0822
- Interstitial Laser Therapy - CPB 781
- Intervertebral Disc Prostheses- CPB-0591
- Intestinal Rehabilitation Programs- CPB-0342
- Intestinal Transplantation- CPB-0605
- Intra-coronary Hyperoxemic Therapy - CPB 0801
- Intra-operative Electromyographic Monitoring- CPB-0697
- Intra-oral Appliances for Headaches - CPB 0688
- Intragastric Hypothermia- CPB-0527
- Intraoperative Radiation Therapy (IORT)- CPB-0721
- Intravascular Ultrasound- CPB-0382
- Intravenous Iron Therapy- CPB-0575
- Invasive Prenatal Diagnosis of Genetic Diseases - CPB 0358
- In Vivo Analysis of Colorectal Polyps - CPB 0783
- Iontophoresis- CPB-0229
- Ipilimumab (Yervoy) - CPB 0815
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J
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K
- Kidney Transplantation- CPB-0493
- Kineret (Anakinra)- CPB-0595
- Knee Ligament Arthrometer Testing- CPB-0397
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L
- Laminoplasty- CPB-0576
- Laparoscopic Uterine Nerve Ablation (LUNA) and Presacral Neurectomy (PSN) - CPB 0754
- Laser Neurolysis- CPB-0552
- Laser Photocoagulation of Drusen- CPB-0609
- Lead Testing- CPB-0553
- Learning Disabilities, Dyslexia, and Vision- CPB-0078
- Levator Syndrome Treatments - CPB-0679
- Liver Neoplasms - Treatment Approaches- CPB-0268
- Liver Transplantation- CPB-0596
- Low Vision Programs- CPB-0580
- Low-Molecular-Weight Heparins- CPB-0346
- Lower Limb Prostheses- CPB-0578
- Lumbar Traction Devices- CPB-0569
- Lung Cancer Screening- CPB-0380
- Lung Imaging Fluorescence Endoscopy (LIFE)- CPB-0581
- Lung Transplantation- CPB-0598
- Lung Volume Reduction Surgery- CPB-0160
- Lyme Disease and other Tick-Borne Diseases- CPB-0215
- Lymphedema - CPB-0069
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M
- Macular / Foveal Translocation- CPB-0409
- Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV)- CPB-0094
- Magnetic Resonance Cholangiopancreatography- CPB-0384
- Magnetic Resonance Imaging (MRI) of the Breast - CPB 0105
- Magnetic Resonance Imaging of the Cardiovascular System - Cardiac MRI- CPB-0520
- Magnetic Resonance Neurography- CPB-0387
- Magnetic Resonance Spectroscopy (MRS)- CPB-0202
- Magnetic Source Imaging/Magnetoencephalography- CPB-0279
- Mammography- CPB-0584
- Manipulation Under Anesthesia- CPB-0204
- Maze Procedure- CPB-0225
- Mechanical Stretching Devices for Contracture and Joint Stiffness- CPB-0405
- Melanoma Vaccine- CPB-0557
- Melodic Intonation Therapy for Persistent Aphasia- CPB-0284
- Menaflex - CPB-0786
- Meniere's Disease Surgery- CPB-0514
- Meningococcal Vaccine- CPB-0356
- Metabolic and Environmental Profiling for Kidney Stone Risk- CPB-0392
- Metatarsal Phalangeal Joint Replacement - CPB 0708
- Microwave Thermotherapy for Breast Cancer- CPB-0682
- Mifepristone (RU 486)- CPB-0465
- Migraine and Cluster Headache: Nonsurgical Management - CPB 0462
- Mohs Micrographic Surgery- CPB-0383
- Motor Cortex Stimulation - CPB 0755
- MRI and CT of the Spine- CPB-0236
- MRI of the Extremities - CPB 0171
- Multiple Sclerosis- CPB-0264
- Multiple Sleep Latency Test (MSLT)- CPB-0330
- Myoelectric Prostheses - CPB 0399
- Myringotomy and Tympanostomy Tube- CPB-0418
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N
- Natalizumab (Tysabri) - CPB-0751
- Near-Infrared Spectroscopy and Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow - CPB-0703
- Near-Infrared (NIR) Spectroscopy for Evaluation of High-Risk Plaques - CPB 0796
- Nebulizers- CPB-0065
- Negative Pressure Wound Therapy- CPB-0334
- Neonatal Hyperbilirubinemia- CPB-0332
- Nerve Conduction Velocity Studies- CPB-0502
- Nerve Fiber Density Measurement - CPB 0774
- Nerve Grafting: Selected Indications - CPB 0416
- Nesiritide (Natrecor)- CPB-0709
- Neuralgia Inducing Cavitational Osteonecrosis (NICO) and Ultrasonograph Bone Densitometer to Detect NICO- CPB-0642
- NeuroControl Freehand System- CPB-0378
- Neuropsychological and Psychological Testing- CPB-0158
- Nitric Oxide, Inhalational (INO)- CPB-0518
- Nocturnal Enuresis Treatments - CPB 0431
- Noncontact Normothermic/Nonthermal Wound Therapy - CPB-0372
- Non-invasive Negative Pressure Ventilation: Body Ventilators and Poncho Wrap- CPB-0298
- Non-myeloablative Bone Marrow/Peripheral Stem Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant)- CPB-0634
- Noninvasive Down Syndrome Screening - CPB 0282
- Noninvasive Positive Pressure Ventilation- CPB-0452
- Noninvasive Tests for Hepatic Fibrosis- CPB-0690
- Nutritional Counseling- CPB-0049
- Nutritional Support- CPB-0061
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O
- Obesity Surgery- CPB-0157
- Obsolete and Unreliable Tests and Procedures - CPB 0438
- Obstetrical Hypertension Programs- CPB-0368
- Obstructive Sleep Apnea in Adults - CPB 0004
- Obstructive Sleep Apnea in Children - CPB 0752
- Occupational Therapy Services- CPB-0250
- Ocular Photoscreening- CPB-0689
- Ofatumumab (Arzerra) - CPB 0794
- Open Air, Low Field Strength, and Standing MRI Units- CPB-0093
- Optic Nerve and Retinal Imaging Methods- CPB-0344
- Optic Nerve Decompression Surgery- CPB-0415
- Oral Brush Biopsy - CPB 0686
- Oral Screening and Lesion Identification Systems - CPB 0760
- Ornish Cardiac Treatment Program- CPB-0267
- Orthognathic Surgery- CPB-0095
- Orthopedic Casts, Braces and Splints- CPB-0009
- Osteochondral Autografts (Mosaicplasty, OATS)- CPB-0637
- Outpatient Medical Self-Care Programs- CPB-0169
- Ovarian Vein Embolization for Pelvic Congestion Syndrome- CPB-0441
- Oxaliplatin (Eloxatin)- CPB-0683
- Oxygen- CPB-0002
- Ozurdex (Dexamethasone Intravitreal Implant) - CPB 0795
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P
- Pamidronate (Aredia)- CPB-0672
- Pancreas Kidney Transplantation- CPB-0587
- Pancreas Transplantation Alone and Islet Cell Transplantation- CPB-0601
- Pancreaticoduodenectomy (Whipple Resection) for Zollinger-Ellison Syndrome- CPB-0365
- Panitumumab (Vectibix) - CPB 0748
- Paralytic Lagophthalmos: Treatments - CPB 0366
- Paranasal Sinus Ultrasound for the Evaluation of Sinusitis- CPB-0694
- Parenteral Immunoglobulins - CPB-0206
- Parkinson's Disease- CPB-0307
- Peak Flow Meters- CPB-0059
- Pectus Excavatum and Poland's Syndrome: Surgical Correction- CPB-0272
- Pediatric Intensive Feeding Programs - CPB 0809
- Pedobarography- CPB-0294
- Pemetrexed (Alimta)- CPB-0687
- Percutaneous Transluminal Septal Myocardial Ablation (PTSMA)- CPB-0558
- Peripheral Artery Stents - CPB-785
- Peripheral Atherectomy- CPB-0295
- Peripheral Ultrafiltration for Acute Decompensated Heart Failure- CPB-741
- Peripheral Vascular Rehabilitation Programs- CPB-0458
- Pervasive Developmental Disorders- CPB-0648
- Pharmacogenetic Testing- CPB-0715
- Phonophoresis- CPB-0210
- Photodynamic Therapy - CPB 0375
- Phototherapy and Photochemotherapy (PUVA) for Skin Conditions- CPB-0205
- Phototherapy for Acne- CPB-0656
- Phototherapy for Psychiatric Disorders - CPB-0370
- Physical Therapy Services- CPB-0325
- Pillows and Cushions- CPB-0456
- Plantar Fasciitis Treatments- CPB-0235
- Plasmapheresis/Plasma Exchange/Therapeutic Apheresis- CPB-0285
- Plerixafor Injection (Mozobil) - CPB 0779
- Pneumococcal Vaccine- CPB-0037
- Polio Vaccine- CPB-0402
- Polymerase Chain Reaction Testing: Selected Indications- CPB-0650
- Pool Therapy, Aquatic Therapy or Hydrotherapy- CPB-0174
- Positron Emission Tomography (PET) - CPB 0071
- Post-Herpetic Neuralgia- CPB-0725
- Pralatrexate (Folotyn) - CPB 0740
- Preconceptional Sex Selection Techniques- CPB-0323
- Premenstrual Syndrome/Premenstrual Dysphoric Disorder - CPB 0512
- Prenatal Care Provided by Primary Care Physicians- CPB 0047
- Pressure Reducing Support Surfaces- CPB 0430
- Procalcitonin (PCT) - CPB 771
- Progestins - CPB 0510
- Prolotherapy - CPB 0207
- Propranolol for Infantile Hemangioma - CPB 0817
- Prostaglandin Infusion Therapy for Pulmonary Hypertension - CPB 0184
- Prostate Cancer Screening- CPB 0521
- Prostate Cancer Vaccine - CPB 0802
- Prostate Saturation Biopsy- CPB-0698
- Prothrombin Time (INR) Home Testing Devices - CPB 0173
- Proton Beam and Neutron Beam Radiotherapy- CPB-0270
- Psoriasis: Biological Therapies- CPB-0658
- Ptosis Surgery- CPB-0084
- Pudendal Nerve Decompression - CPB 0805
- Pulmonary Rehabilitation- CPB-0032
- Pulse Oximeter for Home Use- CPB-0339
- Pulsed Dye Laser Treatment- CPB-0559
- Pulsed Irrigation Evacuation (PIE)- CPB-0522
- Pulsed Radiofrequency - CPB-0735
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Q
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R
- Radiation Treatment of Keloids- CPB-0551
- Radiofrequency Tumor Ablation- CPB-0492
- Radioimmunotherapy for Non-Hodgkin's Lymphoma: Ibritumomab Tiuxetan (Zevalin) and Tositumomab (Bexxar)- CPB-0659
- Radiopharmaceuticals Metastron® (Strontium-89) and Samarium-153 (Quadramet) for Metastatic Bone Pain- CPB-0361
- Re-breathing of Inert Gas for Measurement of Cardiac Output- CPB-0714
- Recurrent Pregnancy Loss- CPB-0348
- Reflex Sympathetic Dystrophy Diagnosis - CPB 0147
- Remicade (infliximab)- CPB-0341
- Remote Ischemic Conditioning - CPB 0814
- RenalVysion - CPB 0775
- Repository Corticotropin Injection (H.P. Acthar Gel) - CPB 0762
- Respiratory Devices: Incentive Spirometers and Intermittent Positive Pressure Breathing Machines- CPB-0479
- RET Proto-Oncogene Testing- CPB-0319
- Retisert (Fluocinolone Acetonide Intra-vitreal Implant)- CPB-0719
- Rhinometry and Rhinomanometry - CPB-0700
- Ribavirin (Virazole)- CPB-0155
- Rituximab (Rituxan)- CPB-0314
- Robotic-assisted Rehabilitation of the Extremities - CPB 0778
- Romiplostim (Nplate) - CPB 0768
- Rosacea- CPB-0547
- Rotavirus Vaccine- CPB-0723
- Routine Foot Care- CPB-0046
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S
- Safety Items- CPB-0623
- Salivary Hormone Tests- CPB-0608
- Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy- CPB-0290
- Screening for Lipid Disorders- CPB-0525
- Scrotal Ultrasonography- CPB-0532
- Seat Lifts and Patient Lifts- CPB-0459
- Selected Aortic Valve Procedures: Ross Pulmonary Autograft and Aortic Valve-Sparing Re-implantation - CPB 0407
- Selective Nerve Root Blocks- CPB-0722
- Selective Peripheral Denervation (Bertrand Procedure) for Spasmodic Torticollis- CPB-0401
- Select Skin Conditions: Laser Treatment- CPB-0577
- Sensory and Auditory Integration Therapy- CPB-0256
- Septoplasty and Rhinoplasty- CPB-0005
- Serum Marker Screening for Down Syndrome- CPB-0464
- Sialolithiasis (Salivary Stones) - CPB 0716
- Signal-Averaged Electrocardiography (SAECG)- CPB-0664
- Single Photon Emission Computed Tomography (SPECT)- CPB-0376
- Skeletal Analysis Systems - CPB 0212
- Skilled Home Health Care Nursing Services- CPB-0201
- Skilled Home Private Duty Nursing Care- CPB-0136
- Smallpox Vaccine- CPB-0644
- Smell and Taste Disorders - Diagnosis- CPB-0390
- Somatostatin Analogs - CPB 0693
- Spasticity Management- CPB-0362
- Speech Generating Devices- CPB-0437
- Speech Therapy- CPB-0243
- Spinal Surgery: Laminectomy and Fusion- CPB-0743
- Spinal Ultrasound- CPB-0628
- Stem Cell Transplant for Autoimmune Diseases and Miscellaneous Indications - CPB-0606
- Stem Cells for Bone Marrow Transplant- CPB-0190
- Stereolithography- CPB-0613
- Stereotactic Cingulotomy- CPB-0288
- Stereotactic Radiosurgery- CPB-0083
- Strabismus Repair in Adults- CPB-0566
- Subtalar Implant for the Treatment of Flatfoot Deformity- CPB-0669
- Suction Pumps- CPB-0503
- Suit Therapy - CPB 0696
- Suprachoroidal Injection of Pharmacologic Agents - CPB 0777
- Surface Scanning and Macro Electromyography- CPB-0112
- Surgical Dressings (Wound Care Supplies)- CPB-0526
- Surgical Treatments to Control Drooling (Sialorrhea)- CPB-0265
- Synagis (Palivizumab) for Prevention of Respiratory Syncytial Virus (RSV) Infections- CPB-0318
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T
- T-Wave Alternans - CPB-0579
- Tables and Boards - CPB-0481
- Temporomandibular Disorders - CPB-0028
- Terbutaline Pump for Preterm Labor - CPB-0468
- Teriparatide (Forteo) - CPB-0666
- Thalamotomy - CPB 0153
- Therabite Jaw Motion Rehabilitation System - CPB-0412
- Therapeutic Chairs - CPB-0434
- Therapeutic Phlebotomy - CPB-0652
- Thermal Intradiscal Procedures - CPB 0602
- Thermography - CPB-0029
- Thoracic Electrical Bioimpedance for Cardiac Output Monitoring- CPB-0472
- Thoracoscopic Sympathectomy- CPB-0310
- Thyrogen (Thyrotropin Alfa)- CPB-0515
- Tilt Table Testing- CPB-0299
- Tinnitus Treatments- CPB-0406
- Titanium Rib- CPB-0582
- Total Ankle Arthroplasty- CPB-0645
- Tocilizumab (Actemra) - CPB 0799
- Total Body Photography and Dermoscopy - CPB 0188
- Total Body Plethysmography- CPB-0474
- Total Hip Implants- CPB-0287
- Total-Body CT Screening- CPB-0603
- Tourette Syndrome- CPB-0480
- Transabdominal Cerclage- CPB-0529
- Transanal Endoscopic Microsurgery for Rectal Cancer - CPB 747
- Transcatheter Aortic Valve Implantation - CPB 0826
- Transcatheter Closure of Septal Defects- CPB-0292
- Transcatheter Pulmonary Valve Implantation - CPB 0821
- Transcervical Balloon Tuboplasty- CPB-0347
- Transcranial Doppler Ultrasonography- CPB-0353
- Transcranial Magnetic Stimulation and Cranial Electrical Stimulation- CPB-0469
- Transjugular Intrahepatic Portosystemic Shunt (TIPSS)- CPB-0259
- Transmyocardial and Endovascular Laser Revascularization - CPB 0163
- Transpupillary Thermal Therapy- CPB-0490
- Transrectal Ultrasound- CPB-0001
- Transvaginal Ultrasonography for Ovarian and Endometrial Cancer Screening and Other Selected Indications - CPB 0530
- Trigeminal Neuralgia Surgery - CPB 0374
- Tuberculosis Testing- CPB-0471
- Tumor Chemoresistance Assays - CPB 0245
- Tumor Chemosensitivity Assays - CPB 0245
- Tumor Markers- CPB 0352
- Tumor Scintigraphy- CPB-0168
- Turbinate Somnoplasty: Radiofrequency Ablation of Hypertrophied Nasal Turbinates- CPB-0592
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U
- Ultra Rapid Detoxification (UROD)- CPB-0317
- Ultrasound for Pregnancy- CPB-0199
- Ultrasound Therapy for Wound Healing - CPB 746
- Unicompartmental, Bicompartmental, and Bi-unicompartmental Knee Arthroplasties - CPB 0660
- Upper Gastrointestinal Endoscopy - CPB 0738
- Urinary Incontinence Treatments- CPB-0223
- Urological Supplies- CPB-0533
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V
- Vaccines for Travel- CPB-0473
- Vacuum Assisted Socket System (VASS)- CPB-0630
- Vagus Nerve Stimulation- CPB-0191
- Varicella and Herpes Zoster Vaccines- CPB-0115
- Varicocele: Selected Treatments - CPB-0413
- Varicose Veins- CPB-0050
- Vascular Endothelial Growth Factor Inhibitors for Ocular Neovascularization - CPB 0701
- Ventricular Assist Devices- CPB-0654
- Ventricular Remodeling Operation (Batista Procedure) / and Surgical Ventricular Restoration (Dor Procedure)- CPB-0182
- Vertebral Axial Decompression Therapy- CPB-0180
- Vesicoureteral Reflux Treatment by Endoscopic Injection of Bulking Agents- CPB-0534
- Vestibular Autorotation Test (VAT)- CPB-0467
- Videostroboscopy- CPB-0305
- Virtual Gastrointestinal Endoscopy - CPB-0535
- Viscocanalostomy and Canaloplasty - CPB 0435
- Viscosupplementation - CPB-0179
- Vision Therapy- CPB-0489
- Visual Perceptual Training- CPB-0321
- Visudyne (Verteporfin) Photodynamic Therapy- CPB-0594
- Vitamin B-12 Therapy- CPB-0536
- Vitiligo- CPB-0422
- Vitrectomy - CPB 0393
- Vocal Cord Paralysis/Insufficiency Treatments - CPB-0253
- Voice Prosthesis for Voice Rehabilitation Following Total Laryngectomy- CPB-0560
- Voice Therapy - CPB 0646
- Vulvodynia and Vulvar Vestibulitis Treatments - CPB 0759
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W
- Weight Reduction Medications and Programs- CPB-0039
- Wheelchairs and Power Operated Vehicles (Scooters) - CPB-0271
- Work Hardening Programs- CPB-0198
- Wound Care- CPB-0244
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X
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Y
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Z
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